Provider Demographics
NPI:1144704685
Name:BUFFALO SOCIAL ADULT DAY CARE CENTER INC
Entity type:Organization
Organization Name:BUFFALO SOCIAL ADULT DAY CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAZFUZUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-591-6782
Mailing Address - Street 1:16001 84TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1713
Mailing Address - Country:US
Mailing Address - Phone:646-591-6782
Mailing Address - Fax:347-694-8854
Practice Address - Street 1:937 E DELAVAN AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3104
Practice Address - Country:US
Practice Address - Phone:646-591-6782
Practice Address - Fax:347-694-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care